Amy North, D.O.
Individual provider Active NPI Family Medicine Physician · Quincy, IL
NPI 1699189332 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1699189332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036-144576 (IL)
- Practice address
- 927 Broadway St Ste 120
Quincy, IL 62301-2728 - Phone
- (217) 214-6200
- NPI assigned
- Jun 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carroll County Memorial Hospital
Jefferson Medical Group
Practice addresses (Care Compare)
1502 N Jefferson St
Carrollton, MO 64633-1948
Phone (660) 542-1695
Hospital & facility affiliations
- Saint Lukes Home Care
- Carroll County Memorial Hospital
- NKC Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170824001335 | MO | Practitioner - Family Practice | 8729209127 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-144576 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Medical Group | Family Medicine | Current |
Accepting new patients |
| Blessing Corporate Services, Inc | Family Medicine | Current | Accepting new patients |
| Jefferson Medical Group | Family Medicine | Current |
Accepting new patients |
| Carroll County Memorial Hospital | Current |
Accepting new patients | |
| Blessing Corporate Services Inc | Family Medicine | Current |
Accepting new patients |
Locations
2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222
1005 Broadway St
Quincy, IL 62301
1502 N Jefferson St
Carrollton, MO 64633
Phone (660) 542-1695
6996 County Road 326
Palmyra, MO 63461
Phone (573) 769-3710
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-144576 | IL | Yes |
| Family Medicine Physician | 207Q00000X | 2017018224 | MO |
Addresses
Primary practice location
927 Broadway St Ste 120
Quincy, IL 62301-2728
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Other names
- Dr. Amy Shoemyer
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Other providers in Quincy, IL
- Anitha Nimmagadda
- Richard K Noble
- Chad Allen Noggle
- Norris Clinic PC
- John Henry Norris Jr.
- Northland Hearing Centers, Inc
- Northland Hearing Centers, Inc.
- Nothold Spine and Sports PLLC
- Erik Nothold
- Diane Nutter
All providers in Quincy, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.